Mental Health Engagement and Recovery Registration

Registration form

Welcome to the registration page for Mental Health Engagement and Recovery

As a programme participant, Inspire need to gather the information below so that we can register you on our case management system. All our records are held in compliance with EU GDPR/Data Protection Act 2018. Click here to view the Inspire Privacy Policy.

Thank you for taking the time to complete this information.

Mental Health Engagement and Recovery

Name(Required)

Gender(Required)

Date of birth(Required)

Email(Required)

Mobile(Required)

Address(Required)

GP Address(Required)

Thank you for your enquiry. To protect your privacy and ensure compliance with UK Data Protection Law (GDPR), you agree that by pressing submit you consent to Inspire keeping a record of your name and contact details to respond to your enquiry. You can read about how we keep your data protected in our Privacy Policy. *(Required)

Yes